Individual
JOLINA PAMELA C SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
604A S 8TH ST, GRIFFIN, GA 30224-4214
(678) 248-2899
(770) 233-4824
Mailing address
604A S 8TH ST, GRIFFIN, GA 30224-4214
(678) 248-2899
(770) 233-4824
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
069630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133683A
—
GA
01
—
5206370
CIGNA
GA
Enumeration date
09/08/2011
Last updated
09/20/2016
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